Fort Peck Community College Policies & Procedures
Fort Peck Community College
Student Housing Department
P.O. Box 398
Poplar, Montana 59255
(406) 768-6300
FPCC Student Housing Dormitory Application
Have you been a tenant at FPCC Student Housing in the past? When?
What is your declared major?
Name: Phone Number:
Address: Msg. Phone:
SS #:
Date of Birth: Male: Female:
Unit Preference:
Single Occupancy: (at the double occupancy rent rate)
Double Occupancy:
The following information must be included with your application to be considered for processing:
Two letters of reference from past landlords or creditors. If you have never had a landlord or creditor,
you may submit two personal references from someone other than family.
Letter of Acceptance from Fort Peck Community College.
Sign the application.
Please read and sign the back of this application.
Monthly rent prices are subject to change with written notice.
FPCC does not guarantee you will receive housing, it is your responsibility to secure your
Fort Peck Community College Policies & Procedures
Back page Housing Application
To be considered for FPCC housing you must complete this application and return it to the FPCC Student
Housing Department along with all items requested.
Due to the limited number of units available, FPCC does not guarantee housing, therefore your application
should be submitted as early as possible prior to needing housing.
When a unit becomes available and you are next on the waiting list, you will be notified by mail, it is your
responsibility to keep your address up to date and send the changes in writing to Fort Peck Community College
Student Housing. Should you accept the unit, you must be a full-time student at FPCC and will be required to
pay a $ security deposit to FPCC. You will be required to pay the deposit and rent as well as occupy the
unit within two weeks of your acceptance. It is the responsibility of the student to secure the funds needed for
deposits and rent.
I declare that I have read and understand the information in this application and that the information I have
provided in this application for FPCC Student Housing is full, true, and complete to the best of my knowledge.
I hereby authorize FPCC to obtain any and all information necessary for the purpose of verifying the statements
made. Furthermore, I grant FPCC the ability to release information necessary in assisting me in obtaining other
services for which I may be eligible. I understand that I must be a full-time student to occupy FPCC Student
Signed: Date:
Please keep a copy of this application for your files.
Send original signed application and attachments to:
Fort Peck Community College
Student Housing
P.O. Box 398
Poplar, Montana 59255
If you have any questions you may call (406) 768-6300
If you need to fax any information fax to: (406) 768-6301
The FPCC Student Housing Application is subject to change without notice.
Office Use Only:
Date Application Received: Complete: